Provider Demographics
NPI:1821203118
Name:DELAWARE COUNTY ENDOCRINOLOGY ASSOCIATES PC
Entity Type:Organization
Organization Name:DELAWARE COUNTY ENDOCRINOLOGY ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEHMOODA
Authorized Official - Middle Name:
Authorized Official - Last Name:SYEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-543-4500
Mailing Address - Street 1:1001 BALTIMORE PIKE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-2852
Mailing Address - Country:US
Mailing Address - Phone:610-543-4500
Mailing Address - Fax:610-543-4501
Practice Address - Street 1:1001 BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-2852
Practice Address - Country:US
Practice Address - Phone:610-543-4500
Practice Address - Fax:610-543-4501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD071563L207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PABS9202273OtherDEA
PABS9202273OtherDEA